Crisis Standards of Care have been activated. Jan 24, 2022 - Crisis Standards of Care
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Crisis Standards of Care have been lifted as of November 22nd, 2021.
IDAHO DEPARTMENT OF HEALTH AND WELFARE
DECLARATION OF DEACTIVATION OF CRISIS STANDARDS OF CARE FOR ALL PUBLIC HEALTH DISTRICTS IN THE STATE OF IDAHO EXCEPT FOR THE PANHANDLE HEALTH DISTRICT
DATE OF DECLARATION: NOVEMBER 22, 2021
The Director of the Idaho Department of Health and Welfare (the “Department”) is authorized by Idaho Code § 56-1003(3) to exercise general supervision and promotion and protection of the health of Idahoans. Further, pursuant to its authority under Idaho Code § 56-1003(2), the Idaho Board of Health and Welfare approved the Crisis Standards of Care for Health Care Entities contained in IDAPA 16.02.09.
Crisis standards of care (CSC) provide guidelines that help healthcare providers and systems decide how to deliver the best care possible under the extraordinary circumstances of an overwhelming disaster or public health emergency. The guidelines are used when there are not enough healthcare resources to provide the usual standard of care to people who need it. The goal of crisis standards of care is to extend care to as many patients as possible and save as many lives as possible.
Deactivation of CSC is appropriate when resources are sufficient to provide the usual standard of care.
The CSC Activation Committee (the “Committee”) convened on September 6, 2021 and recommended the activation of CSC in the Panhandle and Northern Central Health Districts based on a request from Kootenai Health. Subsequently, CSC was activated on September 6, 2021 for Districts 1 and 2. The Committee met again on September 15, 2021, and recommended CSC be activated statewide because of the increasing hospitalization of COVID-19-positive patients that were exhausting healthcare system resources throughout the state. Subsequently, CSC was activated statewide on September 16th.
The following conditions exists which support deactivating CSC:
Since entering CSC, the situation across the state has been monitored daily. The process to deactivate crisis standards of care began when healthcare systems started individually indicating that they had moved to contingency operations instead of operating under CSC conditions.
Department Director Dave Jeppesen convened the CSC Activation Advisory Committee on Nov. 19, 2021, to review the situation at healthcare facilities across the state.
The committee determined that, except for the healthcare systems in the Panhandle Health District, healthcare systems had moved to contingency operations and several had recently made robust decisions to exit operating under CSC. Those healthcare facilities who had exited CSC operations emphasized that while they were able to exit CSC, they remain stressed since the number of patients remains high. They indicated it will be some time before healthcare systems return to full normal operations. It also will take time for healthcare systems to work through the many delayed surgeries and other medical treatments.
The committee recommended to the director that CSC be deactivated in all public health districts except for the Panhandle Health District, where COVID-19 case numbers and hospitalizations continue to exceed the healthcare resources available. For all other public health districts, healthcare systems are generally using contingency operations, which means they can deliver the functional equivalent of the usual standard of care, but still have an usually high number of patients.
Therefore, pursuant to IDAPA 16.02.09.400, CSC previously activated statewide on September 16, 2021 is hereby deactivated for all public health districts except Panhandle Public Health District. CSC remains in effect in the Panhandle Health District, which encompasses Boundary, Bonner, Kootenai, Benewah, and Shoshone counties.
IT IS SO DECLARED:
Dated: November 22, 2021
DAVE JEPPESEN, DIRECTOR
IDAHO DEPARTMENT OF HEALTH AND WELFARE
For Immediate Release
September 10th, 2021
PR 9.10.2021 Mask Update | Printable
While local COVID-19 infections continue to increase and strain our local health system, City of McCall urges education and makes facility changes to protect service capability.
In last night's meeting of McCall City Council, local St. Luke's Hospital representatives presented updated statistics and stressed a renewed warning to our community. Chief Operating and Nursing Officer Amber Green and Dr. Paddy O. Kinney shared information that showed an increase of infections expected to continue in the coming months.
So far, eight days into September, 365 tests have been performed, and 65 were positive in the local St. Luke's facility. "Of the 65 that tested positive, 34 were actual McCall Residents. The majority of the positives are coming from our age group 0 to 17," reported Amber Green. System-wide, Green noted that 71% of critical care patients are COVID related, and 98% of those COVID Patients are unvaccinated. Green also explained that they expect to see a peak in cases in early to mid-October, according to the projection data.
Dr. Paddy Kinney told a sad story of what providers see on the front lines. "It's been a trying time for everybody," Kinney shared. He expressed concern that they are witnessing patient deaths and children on ventilators. In addition, he reported to Council that 92-93% of patients admitted to the hospital are not vaccinated, and 98% of those intubated are not vaccinated. St. Lukes McCall stresses the importance of vaccination to help protect against the virus and reduce stress on the health care system to provide the best care.
Chief of Police Justin Williams informed Council that beginning Monday, September 13th, all city-run facilities would require masks. City staff provides and encourages by-appointment and virtual communication for services to further protect those who cannot mask and reduce impacts to staff,. Anette Spickard, City Manager, added, "we have a fairly small staff, and we need to protect our ability to serve the public." City Council stated that we should continue to educate the public and protect our staff.
Central District Health (CDH) supports the Centers for Disease Control and Prevention’s (CDC) updated guidance shared today (July 27, 2021) regarding wearing a mask when in an indoor public space where there are substantial or high levels of community transmission, regardless of vaccination status.
Universal indoor masking is recommended for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccine status or community transmission. Further, CDH encourages people to follow any policies or requirements set by their workplace or any place of business they visit.
Under the updated guidance, all four of the counties served by CDH currently fall under substantial or high transmission, therefore, CDH recommends that individuals in these communities wear a mask in indoor public settings, regardless of their COVID-19 vaccine status.
Current levels of transmission in CDH’s jurisdiction:
Wearing a mask, along with physical distancing, and choosing to get vaccinated for COVID-19, continue to be our best defense in this pandemic. Getting vaccinated prevents severe illness, hospitalization, and death while helping reduce the spread of the virus in the community. With the Delta variant present in Idaho counties, choosing to get vaccinated is the best way to protect yourself, your loved ones, and those around you.
As this virus continues to evolve and we are regularly learning more, CDH is committed to protecting the health and safety of the communities it serves by providing relevant guidance that aligns with current conditions. CDH will begin posting weekly community transmission rates using the CDC data and categories, to the following web page and through its social media channels: https://www.cdh.idaho.gov/dac-coronavirus.php.